Gold R S, Sager E
J Oral Surg. 1976 Mar;34(3):237-44.
Patients with symptoms consistent with sarcoidosis who are seen by a dentist are not common. Generally, the disease is documented in a patient before the expression of oral symptoms. The most common oral or para-oral symptom appears to be an asymptomatic swelling--usually of the parotid glands or cervical nodes. Often these lesions are first brought to the attention of our medical colleagues. However, in four instances reported in the literature, systemic sarcoidosis was discovered because of the initial oral symptoms. There are often changes in the minor salivary glands under clinically normal-appearing mucosa in patients with systemic sarcoidosis. We have reviewed the concepts of etiology, criteria for diagnosis, and rationale of treatment, along with a review of the dental literature of sarcoidosis. An illustrative case report of a sarcoid lesion on the buccal mucosa is presented.
牙科医生接诊的有结节病相关症状的患者并不常见。一般来说，该病在患者出现口腔症状之前就已确诊。最常见的口腔或口腔周围症状似乎是无症状肿胀——通常是腮腺或颈部淋巴结肿胀。这些病变往往首先引起我们医学同行的注意。然而，文献报道的4例病例中，系统性结节病是由于最初的口腔症状而被发现的。系统性结节病患者在临床外观正常的黏膜下，小唾液腺常发生变化。我们回顾了病因学概念、诊断标准和治疗原理，并查阅了结节病的牙科文献。本文还给出了一例颊黏膜结节病病变的病例报告。
